Individual
DR. BENJAMIN GILLILAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1265 CLIFF GOOKIN BLVD, TUPELO, MS 38801
(662) 407-2528
Mailing address
1265 CLIFF GOOKIN BLVD, TUPELO, MS 38801-6749
(662) 407-2528
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25833
MS
207Q00000X
Family Medicine Physician
L.4157R
AL
Other
Enumeration date
04/14/2016
Last updated
06/18/2018
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